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肝脏与胆囊相邻,因此,肝炎病人往往胆囊也发生慢性炎症,并且肝炎病程愈长,胆囊炎发生率也愈高。我们根据1983年南宁全国肝炎会议制订的肝炎诊断标准,共确诊肝炎病人160例,其中肝硬化病人35例,慢性肝炎50例,急性肝炎75例。并同时应用B超进行胆囊扫描,发现35例肝硬化病人的胆囊壁均增厚,50例慢性肝炎病人中有48例胆囊壁增厚,75例急性肝炎病人有15例胆囊壁增厚。肝炎病人胆囊壁增厚的原因可能与下列因素有关:①病毒感染:肝脏与胆囊紧相连,病毒感染和炎症必然会波及到胆囊,用内窥镜采取胆汁检查发现胆汁内HBsAB阳性。②门静脉高压:门静脉高压时,脾静脉回流障碍,胆囊的静脉也发生回流障碍,致使胆囊壁充血、水肿。③低蛋白血症:由于肝炎,白蛋白合成减少,血浆渗透压下降,液体外
Liver and gallbladder adjacent, therefore, often gallbladder hepatitis patients also have chronic inflammation, and the longer course of hepatitis, the higher the incidence of cholecystitis. According to the hepatitis diagnostic criteria formulated by the Nanning National Hepatitis Conference in 1983, a total of 160 cases of hepatitis were diagnosed. Among them, 35 cases were patients with cirrhosis, 50 cases were chronic hepatitis and 75 cases were acute hepatitis. At the same time the application of B ultrasound gallbladder scan and found that in 35 patients with cirrhosis of the gallbladder wall thickening, 50 cases of chronic hepatitis patients 48 cases of gallbladder wall thickening, 75 cases of acute hepatitis patients gallbladder wall thickening. Hepatitis patients with gallbladder wall thickening may be related to the following factors: ① virus infection: the liver and the gallbladder tightly connected, viral infection and inflammation will inevitably spread to the gallbladder, endoscopic bile examination found bile HBsAB positive. ② portal hypertension: portal hypertension, splenic vein reflux disorder, gallbladder vein reflux disorder also occurs, resulting in gallbladder wall congestion, edema. ③ hypoproteinemia: due to hepatitis, reduced albumin synthesis, decreased plasma osmolality, fluid outside